CHI Health Plainview
704 N 3rd St, Plainview, NE · Chihealth · · NPI 1861765034
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $995.40 | $1,185.00 | $167.14 – $371.06 | 19 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $746.76 | $889.00 | $166.53 – $369.70 | 19 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $261.24 | $311.00 | $74.75 – $293.02 | 19 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,743.84 | $2,076.00 | $519.00 – $1,152.18 | 19 |
| Clsd tx fracture of radius 25500 CPT 25500 | $670.32 | $798.00 | $179.95 – $399.49 | 19 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $427.56 | $509.00 | $310.49 – $689.29 | 19 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $386.40 | $460.00 | $115.00 – $255.78 | 19 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $797.16 | $949.00 | $193.98 – $430.64 | 19 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,260.84 | $1,501.00 | $184.83 – $410.33 | 19 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $682.92 | $813.00 | $203.25 – $463.54 | 19 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,213.80 | $1,445.00 | $307.44 – $682.52 | 19 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $951.72 | $1,133.00 | $283.25 – $628.82 | 19 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $897.12 | $1,068.00 | $228.14 – $506.48 | 19 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $850.08 | $1,012.00 | $253.00 – $878.08 | 19 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $708.96 | $844.00 | $194.59 – $431.99 | 19 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $779.52 | $928.00 | $194.59 – $431.99 | 19 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $514.92 | $613.00 | $153.25 – $340.22 | 19 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $2,231.88 | $2,657.00 | $154.00 – $603.68 | 19 |
| Clsd tx nose fx without manip 21310 CPT 21310 | $1,011.36 | $1,204.00 | $69.50 – $154.29 | 19 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $864.36 | $1,029.00 | $189.10 – $419.81 | 19 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $765.24 | $911.00 | $227.75 – $527.24 | 19 |
| Clsd tx pelvic ring fx CPT 27197 | $220.92 | $263.00 | $160.43 – $356.16 | 19 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,019.76 | $1,214.00 | $167.14 – $371.06 | 19 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $471.24 | $561.00 | $140.25 – $393.96 | 19 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $621.60 | $740.00 | $185.00 – $410.70 | 19 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,047.48 | $1,247.00 | $311.75 – $692.09 | 19 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $552.72 | $658.00 | $117.73 – $261.37 | 19 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,013.88 | $1,207.00 | $213.50 – $473.97 | 19 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,287.72 | $1,533.00 | $213.50 – $473.97 | 19 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $954.24 | $1,136.00 | $184.22 – $408.97 | 19 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $332.64 | $396.00 | $99.00 – $224.42 | 19 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $285.60 | $340.00 | $85.00 – $234.22 | 19 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $777.84 | $926.00 | $231.50 – $513.93 | 19 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,142.40 | $1,360.00 | $147.01 – $326.37 | 19 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $621.60 | $740.00 | $185.00 – $500.78 | 19 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $724.08 | $862.00 | $215.50 – $661.50 | 19 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $777.84 | $926.00 | $117.73 – $261.37 | 19 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $687.96 | $819.00 | $189.71 – $421.16 | 19 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,149.96 | $1,369.00 | $231.80 – $514.60 | 19 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,298.64 | $1,546.00 | $273.28 – $606.69 | 19 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $827.40 | $985.00 | $184.22 – $408.97 | 19 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,144.08 | $1,362.00 | $147.01 – $326.37 | 19 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $1,649.76 | $1,964.00 | $491.00 – $1,607.20 | 19 |
| Cltx palatal/max fx wire fix CPT 21421 | $2,490.60 | $2,965.00 | $458.50 – $1,797.32 | 19 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,040.76 | $1,239.00 | $147.01 – $326.37 | 19 |
| #cmvcul-virus inoculation shell CPT 87254 | $85.68 | $102.00 | $19.56 – $99.96 | 19 |
| Cmv pcr-sendout CPT 87496 | $467.88 | $557.00 | $35.09 – $107.80 | 19 |
| Co2 monitor per day CPT 94681 | $794.64 | $946.00 | $577.06 – $1,281.08 | 19 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $46,149.60 | $54,940.00 | $7,320.00 – $16,250.40 | 19 |
| Cocaine 4 % nasal solution HCPCS C9046 | $1,103.23 | $1,313.36 | $461.65 – $1,024.86 | 19 |
| Cold agglutinin titer CPT 86157 | $207.48 | $247.00 | $8.06 – $242.06 | 19 |
| Colistimethate sodium inj HCPCS J0770 | $111.93 | $133.25 | $60.70 – $134.75 | 19 |
| Collagenase, clost hist inj HCPCS J0775 | $21,982.34 | $26,169.45 | $15,963.37 – $35,438.67 | 19 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $495.79 | $590.22 | $6.39 – $14.18 | 19 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $89.95 | $107.08 | $25.14 – $55.80 | 19 |
| Collar cerv ascend 172 reg HCPCS L0172 | $593.87 | $706.98 | $12.82 – $28.46 | 19 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $178.92 | $213.00 | $129.93 – $288.45 | 19 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $98.28 | $117.00 | $71.37 – $158.45 | 19 |
| Collection of venous blood by venipuncture CPT 36415 | $94.92 | $113.00 | $4.55 – $20.18 | 19 |
| Colonoscopy (diagnostic) CPT 45378 | $1,975.68 | $2,352.00 | $457.50 – $1,015.65 | 19 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $1,816.08 | $2,162.00 | $858.88 – $1,906.72 | 19 |
| Colonoscopy for bleeding 44391 CPT 44391 | $1,569.12 | $1,868.00 | $1,139.48 – $2,529.65 | 19 |
| Colonoscopy for foreign body CPT 44390 | $980.28 | $1,167.00 | $711.87 – $1,580.36 | 19 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $926.52 | $1,103.00 | $672.83 – $1,493.69 | 19 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $1,060.92 | $1,263.00 | $770.43 – $1,710.36 | 19 |
| Colonoscopy submucous njx CPT 45381 | $1,079.40 | $1,285.00 | $671.61 – $1,490.98 | 19 |
| Colonoscopy thru stoma spx CPT 44388 | $759.36 | $904.00 | $551.44 – $1,224.20 | 19 |
| Colonoscopy w/ablation CPT 45388 | $6,149.64 | $7,321.00 | $4,465.81 – $9,914.10 | 19 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,501.08 | $1,787.00 | $1,090.07 – $2,419.96 | 19 |
| Colonoscopy w/control bleed CPT 45382 | $1,636.32 | $1,948.00 | $1,188.28 – $2,637.99 | 19 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $603.96 | $719.00 | $438.59 – $973.67 | 19 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $711.48 | $847.00 | $516.67 – $1,147.01 | 19 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $678.72 | $808.00 | $492.88 – $1,094.20 | 19 |
| Colonoscopy w/fb removal CPT 45379 | $1,053.36 | $1,254.00 | $764.94 – $1,698.17 | 19 |
| Colonoscopy with ablation CPT 44401 | $5,958.96 | $7,094.00 | $4,327.34 – $9,606.70 | 19 |
| Colonoscopy (with biopsy) CPT 45380 | $2,656.92 | $3,163.00 | $767.99 – $1,704.94 | 19 |
| Colonoscopy with biopsy CPT 44389 | $1,001.28 | $1,192.00 | $727.12 – $1,614.21 | 19 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,916.04 | $2,281.00 | $799.10 – $1,774.01 | 19 |
| Colonoscopy w/stent plcmt CPT 44402 | $613.20 | $730.00 | $445.30 – $988.57 | 19 |
| Colpocentesis 57020 CPT 57020 | $719.04 | $856.00 | $89.25 – $349.86 | 19 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $1,816.92 | $2,163.00 | $232.25 – $910.42 | 19 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $127.68 | $152.00 | $92.72 – $205.84 | 19 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $259.56 | $309.00 | $188.49 – $418.45 | 19 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $193.20 | $230.00 | $140.30 – $311.47 | 19 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $259.56 | $309.00 | $188.49 – $418.45 | 19 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $265.44 | $316.00 | $192.76 – $427.93 | 19 |
| Compatibility test each unit electronic CPT 86923 | $266.28 | $317.00 | $193.37 – $429.29 | 19 |
| Compatibility test each unit immediate spin technique CPT 86920 | $97.44 | $116.00 | $70.76 – $157.09 | 19 |
| Compatibility test incubate CPT 86921 | $98.28 | $117.00 | $71.37 – $158.45 | 19 |
| Complement antigen each component c3 CPT 86160 | $148.68 | $177.00 | $12.00 – $173.46 | 19 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $845.88 | $1,007.00 | $251.75 – $558.89 | 19 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $946.68 | $1,127.00 | $281.75 – $625.49 | 19 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,004.64 | $1,196.00 | $299.00 – $663.78 | 19 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,180.20 | $1,405.00 | $326.35 – $724.50 | 19 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $449.40 | $535.00 | $129.25 – $506.66 | 19 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $923.16 | $1,099.00 | $271.45 – $602.62 | 19 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,122.24 | $1,336.00 | $326.35 – $724.50 | 19 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $449.40 | $535.00 | $118.25 – $463.54 | 19 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $449.40 | $535.00 | $89.00 – $348.88 | 19 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $811.44 | $966.00 | $241.50 – $536.13 | 19 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.